| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.84 | $61.84 | $78.53 | |
Aetna
| Professional | $44.99 | $61.60 | $78.53 | |
BCBS
| Professional | $97.42 | $97.42 | $97.42 | |
Molina
| Professional | $42.50 | $50.00 | $80.00 | |
United
| Professional | $61.47 | $72.90 | $94.01 |